Charles D Randolph in Mamaroneck - General Practice
Charles D Randolph - NPI 1164589107
Charles D Randolph is a General Practice in Mamaroneck, New York. Charles D Randolph practices all healthcare services and medical treatments related to General Practice. The NPI Number for Charles D Randolph is 1164589107. The last update date is 2014-02-03.
Charles D Randolph's current location address is 875 Mamaroneck Ave, Mamaroneck, New York. You can contact this provider via phone number 9148356004 and fax number 9148356055. The mailing address for Charles D Randolph is 875 Mamaroneck Ave, Mamaroneck, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles D Randolph |
|---|---|
| Address | 875 Mamaroneck Ave, Mamaroneck, New York |
| Phone Number | 9148356004 |
| Fax Number | 9148356055 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1164589107 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2014-02-03 |
Provider Mailing Address Detail
| Address | 875 Mamaroneck Ave |
|---|---|
| City | Mamaroneck |
| State | New York (NY) |
| Post Code | 105431900 |
| Phone Number | 9148356004 |
| Fax Number | 9148356055 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 28137 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identification code assigned to Charles D Randolph by the Centers for Medicare & Medicaid Services?
The Charles D Randolph has been issued the NPI (National Provider Identifier) 1164589107. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Charles D Randolph's facilities are geographically located?
The facilities of Charles D Randolph are physically situated at the following location: 875 Mamaroneck Ave, Mamaroneck, NY, 105431900.
What is the area of specialization for Charles D Randolph, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Charles D Randolph is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
When did the Charles D Randolph receive its 1164589107?
The Charles D Randolph was issued its 1164589107 on 2007-01-02, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Charles D Randolph most recently updated or revised?
The details related to Charles D Randolph, including its address, specialty, and other relevant information, were last updated or revised on 2014-02-03.